12 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... ) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... Flutter on EKG ... #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... the circuit can reverse ... Atypical atrial ... #Diagnosis #ECG ... #EKG #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... 200ms from longer pause
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... flutter or MAT ... Treat underlying cause ... Treatment #management #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Flutter PR Interval ... • U waves = severe ... #Interpretation
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform Interpretation ... fibrillation/flutter ... “cannon waves” caused ... CVP #Waveform #Interpretation ... #Diagnosis #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology